How to Manage Menopause and Perimenopause
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Menopause is not a problem to fix.
It is not a disease to be managed.
It is a rite of passage—an ancient threshold into deeper wisdom and a sacred evolution of the feminine experience.
And yet, for many women, this transition feels anything but sacred.
It feels like chaos. Brain fog. Emotional waves. Sleepless nights. Sudden weight gain.
But that chaos often isn’t caused solely by natural aging. It’s the aftermath of years—sometimes decades—of hormonal suppression.
The body hasn’t been allowed to shift with grace. It’s been silenced.
And when the silence breaks, it doesn’t whisper.
It erupts.
The Hidden Impact of Birth Control
Hormonal birth control is often presented as safe, simple, and necessary.
But few women are told what it actually does to the body.
It overrides your hormonal rhythm.
It forces your body into a synthetic cycle.
It disconnects you from the natural intelligence of your womb.
And when you stop taking it, your body is left to unravel years of hormonal confusion. That unraveling is often what turns menopause from a transition into a storm.
Here’s what long-term hormonal birth control use can disrupt:
- Natural ovulation, which is how your body produces estrogen, progesterone, and testosterone
- Key nutrient levels: B vitamins, zinc, magnesium, selenium, vitamin C
- Gut microbiome balance and immune regulation
- Inflammation and detox pathways
- Libido and emotional expression
- Early warning signs of imbalances like PCOS or endometriosis, which get masked instead of addressed
It’s not about judgment. It’s about informed consent.
It’s about acknowledging that what we were told was “safe” may be part of why so many women now enter menopause feeling anxious, exhausted, and hormonally depleted.
Hormonal Health Is About More Than Reproduction
Let’s be clear:
You do not have to want children in order to honor your hormones.
You do not have to desire pregnancy in order to protect your body’s sacred rhythm.
Ovulation is not just about fertility. It’s about vitality.
When you ovulate naturally, your body produces the hormones that stabilize your mood, protect your bones, regulate your metabolism, and support brain, heart, and skin health.
To shut down ovulation is to shut down an entire communication network that your body depends on.
Women deserve better than synthetic control.
We deserve options that respect our biology.
Safer, Body-Honoring Birth Control Options
If you're sexually active and not planning to conceive, there are hormone-free ways to prevent pregnancy without disrupting your endocrine system.
Here are some of the most effective:
- Fertility Awareness Method (FAM) – Track basal body temperature, cervical fluid, and ovulation signs. When done accurately, it’s up to 98% effective. Apps like Kindara or tools like Tempdrop make it easier.
- Condoms – Both male and female options offer reliable, hormone-free protection.
- Copper IUD – A non-hormonal device that prevents fertilization. Effective for up to 10 years. (May increase cramping or bleeding for some.)
- Diaphragms and Cervical Caps – Reusable barrier methods used with spermicide.
- Withdrawal + Cycle Tracking – Especially effective when combined with body literacy.
- Abstinence During Fertile Window – The most ancient form of prevention, rooted in awareness and intention.
We were never meant to override our womb.
We were meant to understand her.
Returning to Menopause with Respect
To honor menopause, we must also honor the years leading up to it—the ones where we were taught to manage our bodies instead of listen to them.
The body doesn’t forget.
It stores every suppression, every skipped meal, every nutrient deficiency, every stressor.
And when menopause arrives, it brings all of that to the surface—not to punish us, but to liberate us.
This is not the beginning of the end.
It’s the beginning of truth.
A return to rhythm. A demand for deeper nourishment. A sacred opportunity to realign.
And for many women, that realignment starts with nutrition.
The Nutrition Menopause Demands
Most of the symptoms associated with menopause—hot flashes, weight gain, fatigue, brain fog, anxiety, thinning hair, dry skin, insomnia, joint pain—aren’t just about hormones. They’re often rooted in deficiency.
The body cannot regulate hormones, repair tissue, produce energy, or maintain emotional balance without the raw materials it needs. And most of us aren’t getting enough of them.
Let’s talk about what your body actually needs right now:
1. Protein: Your Repair Tool
Protein is not just for building muscle.
During menopause, it becomes essential for:
- Maintaining lean muscle mass (which declines with age)
- Supporting liver detox pathways (which process excess hormones)
- Producing neurotransmitters for emotional stability
- Building collagen for skin, joints, and connective tissue
If you’re feeling sluggish, or emotionally unstable, it may be less about “hormones” and more about not getting enough protein.
Aim for: 90–120g of clean protein daily (varies by weight and activity).
2. Minerals: The Spark Plugs
Minerals are behind nearly every biochemical reaction in the body. They govern:
- Bone density and joint flexibility
- Mood regulation and sleep quality
- Thyroid health and energy levels
- Hair strength and skin hydration
- Blood sugar balance
During perimenopause and menopause, many women are deeply depleted in minerals like:
- Magnesium – for sleep, stress, muscle relaxation, and hormone balance
- Zinc – for immune support, thyroid function, skin, and libido
- Selenium – for detox, thyroid, and hormonal regulation
- Calcium and Boron – for bone health
- Potassium – for fluid balance and nerve function
Tip: Add mineral-rich foods like dark leafy greens, pumpkin seeds, Brazil nuts, sea salt, and herbal infusions (like nettle + oatstraw). Consider high-quality magnesium glycinate or citrate if you're not sleeping well.
3. Omega-3s: The Oil for Your Engine
Omega-3 fatty acids are anti-inflammatory and hormone-supportive. They help:
- Reduce joint stiffness
- Ease mood swings and depressive symptoms
- Improve brain clarity
- Nourish the skin
- Support cardiovascular health
Aim for: A diet rich in walnuts, flax seeds, and chia seeds.
4. Vitamin D: The Silent Stabilizer
Vitamin D is more like a hormone than a vitamin—and it’s one many women are missing.
It supports:
- Hormonal balance
- Mood regulation (especially if you're dealing with anxiety or depression)
- Bone health (by working with calcium and magnesium)
- Immune strength
Check your levels. Many women are deficient without realizing it. Get sun exposure when you can and supplement if needed (D3 + K2 is ideal).
5. Blood Sugar Balance and Cortisol Management
When blood sugar spikes and crashes, your body releases cortisol to stabilize it. If your diet is high in caffeine, sugar, or processed carbs, this creates a hormonal storm—because cortisol disrupts estrogen, progesterone, and testosterone levels.
And stress itself?
It robs your body of B vitamins, magnesium, zinc, and vitamin C, leaving you wired but tired. When stress is unmanaged, symptoms like night sweats, hot flashes, anxiety, weight gain, and exhaustion increase dramatically.
Support your stress system by:
- Eating protein with every meal
- Swapping out refined sugars for natural alternatives
- Prioritizing slow mornings and deep sleep
- Taking adaptogens like ashwagandha, rhodiola, or tulsi
- Saying no more often
- Deep breathing before meals and at bedtime
The Problem with HRT (Hormone Replacement Therapy)
Many women are encouraged to turn to HRT as a first response. But this approach often ignores the why behind the symptoms.
HRT attempts to replace declining hormone levels with synthetic or bioidentical versions. But if the body is nutrient-depleted, stressed, inflamed, or disconnected, simply adding more hormones won’t fix the deeper issue.
Here’s what is often not told (or disregarded when it is told):
- HRT can increase risk of blood clots, stroke, and certain cancers (especially with long-term use)
- It may worsen imbalances if nutrient deficiencies, liver overload, or stress are not addressed
- It can create dependency, masking root causes instead of healing them
- Once stopped, symptoms may return—sometimes more intensely
You deserve better than a bandaid.
You deserve restoration, not management.
Start With What Your Body Actually Needs
Here’s a grounded way to begin:
- Go to the USDA DRI Calculator
- Enter your personal information (age, weight, height, activity level)
- Get your personalized nutrient needs
- Compare those numbers to what you’re getting from food and supplements
- Identify the gaps and address them—starting with whole food, then supplementing as needed
This is how you take the guesswork out.
This is how you build hormonal health from the inside out.
Herbs That Support the Shift
Alongside targeted nutrition, herbal allies can help smooth the transition:
- Red Clover, Sage, Black Cohosh – ease hot flashes and night sweats
- Nettle, Oatstraw, Raspberry Leaf – deeply mineralize and stabilize energy
- Passionflower, Lemon Balm, Motherwort – ease anxiety and emotional swings
- Maca, Shatavari, Ashwagandha – support libido, mood, and hormonal recalibration
And above all, give your body what it has long been denied:
Rhythm. Rest. Reverence. Real nourishment.
This Isn’t Just About Hormones. It’s About Wholeness.
The body doesn’t just need fewer symptoms.
It needs more support.
More minerals. More protein. More boundaries. More breath.
You were not meant to suffer through this phase.
You were meant to awaken in it.
Pause for a Moment and Ask Yourself: Am I ready to take my health into my own hands and control menopause or continue to allow it to control me?